Volume 5, Issue 1 (3-2023)                   2023, 5(1): 0-0 | Back to browse issues page

XML Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Manouchehri A. Paraquat Poisoning: A Case Report. Journal title 2023; 5 (1)
URL: http://pbp.medilam.ac.ir/article-1-162-en.html
Assistant Professor, Department of Internal Medicine, Shahid Beheshti Hospital, Babol University of Medical Sciences, Babol, Iran , draamanouchehri@gmail.com
Abstract:   (422 Views)

Objective: According to World Health Organization (WHO), paraquat is categorized as moderately hazardous, but it’s ingestion is associated with high toxicity and mortality and there is no specific antidote for paraquat poisoning.
Case report: A 75-year-old female was admitted to the emergency room with an alleged history of ingestion of 1 glass of paraquat (liquid form). Examination of oral cavity showed tongue and mucosal erosion. Cardiovascular, chest, and CNS examinations were normal. Gastric lavage was performed and she received IV fluids and an antiemetic as a supportive measure. Intravenous steroids and N-Acetylcysteine and proton pump inhibitors were added to the treatment. Input/output charting and vital monitoring was done. Her initial chest X ray, ECG and abdominal ultrasonography were normal. Initially, her CBC, Electrolytes, liver function tests, and kidney function tests were within the normal ranges. During the hospital stay, blood creatinine increased to 2.2 mg% and kidney function tests deteriorated gradually. The patient developed AKI and was supported with haemodialysis. Patient's condition improved by passing time, she started accepting orally and urine output was adequate. She was then discharged with stable vital signs and was asked to follow-up in the outpatient department. Early diagnosis, aggressive decontamination and supportive care should be established in paraquat poisoning.
Conclusion: Since there is no known antidote for it, further absorption must be prevented in order to manage paraquat poisoning successfully.

Keywords: Paraquat, Poisoning, WHO, Toxicity, Toxicology
Type of Study: Case report | Subject: Toxicology
Received: 2022/10/2 | Accepted: 2022/11/13 | Published: 2022/11/13

Add your comments about this article : Your username or Email:

Send email to the article author

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.